E-ISSN:2456-3110

Review Article

Avarana

Journal of Ayurveda and Integrated Medical Sciences

2025 Volume 10 Number 2 FEBRUARY
Publisherwww.maharshicharaka.in

Avarana - The Ayurvedic perspective on understanding and managing Neuromuscular Disorders

Kumar N1*, Sevatkar BK2, Sharma SK3
DOI:10.21760/jaims.10.2.32

1* Nirmal Kumar, Post Graduate Scholar, Department of Roga Nidana Evam Vikriti Vigyana, National Institute of Ayurveda Deemed To Be University, Jaipur, Rajasthan, India.

2 B K Sevatkar, Professor, Department of Roga Nidana Evam Vikriti Vigyana, National Institute of Ayurveda Deemed To Be University, Jaipur, Rajasthan, India.

3 Surendra Kumar Sharma, Professor And HOD, Department of Roga Nidana Evam Vikriti Vigyana, National Institute of Ayurveda Deemed To Be University, Jaipur, Rajasthan, India.

In Ayurveda, Avarana refers to the pathological obstruction of the normal functioning of Vata Dosha due to the covering or enveloping by other Doshas, Dhatus, or Malas. Neuromuscular disorders, characterized by impaired nerve and muscle function, can be understood through the lens of Avarana, where Vata is obstructed by pathological factors, leading to disruptions in sensory, motor, and autonomic functions. Dhatu Avritta Lakshana are observed in Neuromuscular Disorders because of the simultaneous manifestation of several Avaranas caused by the participation of Tridosha's and Ten Dushya's. Vyana Vata's Margavarana makes it unable to provide Dhatus the right nourishment. Dhatukshya results from this situation if it lasts for an extended period of time. Bala and Sneha are given to the body by Mamsa. Because this Sneha Karma is absent in Neuromuscular Disorders patients, their Bala is diminished, and later on, motor symptoms such as Kevala Vata Vikara (Stambha, Kampa, Sosha, etc.) may appear.

Keywords: Dhatu Avritta Lakshana, Margavarana, Tridosha, Dushya

Corresponding Author How to Cite this Article To Browse
Nirmal Kumar, Post Graduate Scholar, Department of Roga Nidana Evam Vikriti Vigyana, National Institute of Ayurveda Deemed to Be University, Jaipur, Rajasthan, India.
Email: 		Kumar N, Sevatkar BK, Sharma SK, Avarana - The Ayurvedic perspective on understanding and managing Neuromuscular Disorders. J Ayu Int Med Sci. 2025;10(2):231-236.
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https://jaims.in/jaims/article/view/4066

Manuscript Received Review Round 1 Review Round 2 Review Round 3 Accepted
2025-01-15 2025-01-25 2025-02-05 2025-02-17 2025-02-28
Conflict of Interest Funding Ethical Approval Plagiarism X-checker Note
None Nil Not required 12.85

© 2025 by Kumar N, Sevatkar BK, Sharma SK and Published by Maharshi Charaka Ayurveda Organization. This is an Open Access article licensed under a Creative Commons Attribution 4.0 International License https://creativecommons.org/licenses/by/4.0/ unported [CC BY 4.0].

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Nirmal K et al. Avarana - The Ayurvedic perspective on understanding

Introduction

Avarana is a critical concept in Ayurveda that plays a significant role in understanding various pathological conditions. Derived from the root word "Avar" meaning obstruction or covering, Avarana refers to the encroachment or hindrance caused by one entity upon another, disrupting the normal physiological functions. Neuromuscular disorders, characterized by the impaired functioning of nerves and muscles, can be effectively explained through the lens of Avarana, where certain Doshas obstruct the normal movement or function of Vata, the primary force governing all neural and muscular activities. Neuromuscular disorders are a broad group of conditions characterized by impaired functioning of the nervous system and muscles, often leading to symptoms such as weakness, numbness, tremors, and motor dysfunction. Ayurveda offers a unique perspective on these conditions through the concept of Avarana, which refers to the obstruction or covering of Vata Dosha by other Doshas, Dhatus, or Malas. This obstruction disrupts normal physiological functions, resulting in pathological conditions resembling neuromuscular disorders. This article delves into the theoretical and practical understanding of Avarana and its application in neuromuscular disorders, with an emphasis on Ayurvedic principles and their therapeutic implications.

Understanding Avarana

Avarana is a pathological condition wherein the natural flow and function of Vata Dosha are hindered. Vata, the primary regulator of all bodily movements and neural functions, becomes dysfunctional when obstructed by other entities such as:

1. Pitta or Kapha Dosha: Excessive accumulation of Pitta or Kapha can restrict Vata’s mobility and functions.
2. Dhatus: The seven body tissues (Rasa, Rakta, Mamsa, Meda, Asthi, Majja, and Shukra) can act as obstructing agents when affected by pathological changes.
3. Malas: Accumulated waste products (e.g., feces, urine) can also impede Vata’s

Avarana disrupts the harmonious functioning of Vata, leading to clinical manifestations that often resemble neuromuscular disorders.

Neuromuscular Disorders in Ayurveda

Neuromuscular disorders encompass a wide range of conditions, including muscular dystrophy, multiple sclerosis, myasthenia gravis, and motor neuron disease.

Ayurveda attributes these disorders primarily to the vitiation of Vata Dosha. The obstruction or Avarana of Vata by other factors disrupts its normal functions, resulting in symptoms like weakness, tremors, spasticity, and paralysis.

Vata's Role in Neuromuscular Functions

Governs movements of muscles and nerves. Facilitates the transmission of signals between the brain and body. Regulates motor and sensory functions. When Avarana occurs, these functions are compromised, leading to neuromuscular pathologies.

Neuromuscular Disorders in Modern Medicine

Neuromuscular disorders include conditions that impair the nervous system’s control over muscles. Diseases such as Parkinson’s disease, multiple sclerosis, muscular dystrophy, and motor neuron diseases fall under this category. These conditions are characterized by symptoms like muscle weakness, tremors, spasms, and paralysis, often reflecting Vata imbalance in Ayurvedic terms.

Correlation of Avarana with Neuromuscular Disorders

1. Parkinson’s Disease (Kampa Vata): Parkinson’s disease is marked by tremors, rigidity, bradykinesia, and postural instability. In Avarana terms, Kapha obstructing Prana Vata (responsible for neurological functions) and Udana Vata (controlling speech and motor activities) could explain the disease’s manifestation.
2. Multiple Sclerosis (Asthi-Majjagata Vata): This autoimmune disorder, characterized by demyelination and impaired nerve conduction, can be correlated to Avarana of Vata by Kapha or Pitta in the Asthi and Majja Dhatus, leading to symptoms like fatigue, spasticity, and cognitive decline.
3. Muscular Dystrophy (Mamsagata Vata): Muscular dystrophy involves progressive muscle weakness and degeneration. From the Avarana perspective, the obstruction of Vata by Kapha or Meda in the Mamsa Dhatu can result in the impaired nourishment and function of muscles.


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4. Motor Neuron Diseases (Sarvangavata): Disorders like amyotrophic lateral sclerosis (ALS) present with progressive muscle weakness and paralysis. This condition aligns with the Avarana of Vata by Kapha in the neurological pathways, impairing motor functions.

Pathogenesis of Avarana in Neuromuscular Disorders

The pathogenesis of Avarana involves several key steps:

1. Accumulation of Obstructive Agents: Kapha, Pitta, or Malas accumulate in specific areas due to improper lifestyle and dietary habits.
2. Vitiation of Vata: The accumulated entities obstruct the pathways (Srotas) of Vata, leading to its localized or systemic dysfunction.
3. Clinical Manifestations: Symptoms emerge based on the site of obstruction and the specific subtype of Vata

For example, Prana Vata Avarana manifests as cognitive and neurological deficits, while Apana Vata Avarana may lead to musculoskeletal issues.

Samanya Samprapti

Pitta / Kapha block Vata.
↓
Vata gets disturbed and it wants to escape.
↓
Being powerful and having mobility and minuteness / subtleness this Vata pushes and scatter Pitta and Kapha to make its way.
↓
These Pitta and Kapha are mobilized into the susceptible tissues.
↓
Pitta and Kapha get lodged in the tissues and cause its symptoms respectively.
↓
But the mechanism is initiated by Vata itself. Therefore, even after being subjected to Avarana, Vata has control over the pathogenesis.
↓
It is authoritative. The vitiated Vata throws the Piitta and Kapha here and there i.e. into the weak and susceptible tissues and causes the diseases their in.

Diagnostic Approach in Ayurveda

Trividha Pariksha: Observation (Darshana), palpation (Sparshana), and interrogation (Prashna).

Ashtavidha Pariksha: Pulse, urine, stool, tongue, voice, eyes, skin, and overall appearance.

Management of Avarana in Neuromuscular Disorders

Diagnosing Avarana requires a thorough assessment, including

1. Dosha Assessment: Identifying the obstructing and obstructed Doshas.
2. Srotas Examination: Analyzing the affected pathways and tissues.

3. Clinical Symptoms: Correlating symptoms with specific Avarana

Ayurvedic treatment of Avarana focuses on

1. Pacification of Vitiated Doshas: Using herbal remedies and dietary interventions.
2. Removal of Obstruction: Clearing blocked channels to restore Vata's normal flow.
3. Strengthening Muscles and Nerves: Rejuvenating therapies to improve neuromuscular coordination.

Methods

A comprehensive review of classical Ayurvedic texts and contemporary studies was conducted to explore the role of Avarana in neuromuscular disorders. Key Ayurvedic concepts, such as Vata Avarana, Dhatukshaya (tissue depletion), and Srotas (body channels), were analyzed to correlate their manifestations with neuromuscular pathologies. Treatment approaches, including Shodhana (cleansing therapies), Shamana (pacification therapies), and lifestyle modifications, were also reviewed.

Examples of Avarana in Neuromuscular Disorders

1. Kapha Avarana of Vata: Seen in conditions like Parkinson's disease, where rigidity and tremors dominate.
2. Pitta Avarana of Vata: Manifesting as inflammatory neuromuscular diseases, e.g., multiple sclerosis.
3. Mamsa Dhatu Avarana of Vata: Observed in muscular dystrophies where muscle degeneration and weakness occur.

Clinical Features and Diagnosis

The clinical manifestations of Avarana depend on:


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1. Nature of Obstruction: Dosha, Dhatu, or Mala
2. Site of Avarana: Specific Srotas or organs affected.

Common Symptoms in Neuromuscular Disorders
Paresthesia

Acharya Sushruta describes Sparshadwesha in Raktavritta Vata, Sparshadwesha refers to altered functions of Vata that may involve hypo-functioning of Vata or hyperfunctioning of Vata. Paresthesia can be likened to hyperfunctioning of Prakupita Vata resulting from obstruction by Pitta.

Burning sensation

Daha, Vidaha, Plosha, Paridaha, Santapa are the terms that can be associated with burning sensation. Vidaha refers to the burning sensation in Pani, Pada, etc. The burning sensation without perspiration is referred to as Plosha, which has been mentioned in Pitta Nanatmaka Vikara. Daha is described in Pittatavrittavata, while Vidaha is detailed in Pittavritta Prana, Udana and Samanavata. All these symptoms can be categorized under Neuromuscular disorder.

Numbness

Numbness is indicated by Supti, Karasupti, Padasupti or Swapnam. It is observed that Suptata is defined as Sparsha Agyana by Chakrapani. Acharya Sushruta refers to a condition caused by Kapha and Vata known as Padaharsha in which Supti and Harsha are the manifestations. The symptoms include intense pain and burning sensation accompanied by loss of sensation. All three features are present in Neuromuscular disorder. Meanwhile, Suptagatrata (numbness in the body) is described by Acharya Charaka in Prakarana of Vyanavritta Prana and Medakaphavarana.

The atrophy and weakening of the muscles can be compared to Sadana, Tandra, Chestahani, and Balakshya. All of Dhatusara will be lost in Madhumeha Rogi due to Mootra, which eventually results in Daurbalyata or Balakshaya. According to Chakrapani, Daurbalya in action is caused by Mamsaapchaya in chronic Vyadhi. Acharya Sushruta describes Sadana in Kaphavritta Pranavata, explains tantra in Pittavritta Pranavata, and explains Chestasanga or Chestahani in Kaphavritta Vyana. Wasting Angasosha, Mamsopachaya, and Sosha are comparable to wasting.

According to Bhavaprakasha, Angashosha falls within Vataja Nanatmaka Vikara, whilst Sosha and Mamsapchaya are listed under Updrava of Prameha.

Role of Diet and Lifestyle

Ahara (Diet)  

Vata pacifying Diet: Warm, unctuous, and easily digestible foods.
Inclusion of ghee, milk, and herbs like turmeric.
Avoidance of dry, cold, and processed foods.

Vihara (Lifestyle)

Regular exercise tailored to individual capacity.
Stress management through Yoga and meditation.
Adequate sleep and avoidance of overexertion.

Management of Avarana in Neuromuscular Disorders

The management of Avarana involves addressing both the obstructing agent and the obstructed Vata. The therapeutic approach includes:

1. Shodhana (Cleansing Therapies)

  • Vamana (Emesis): Effective in Kapha-induced Avarana.
  • Virechana (Purgation): Beneficial for Pitta-induced Avarana.
  • Basti (Enema): The most effective therapy for Vata disorders, especially in neuromuscular conditions.

2. Shamana (Pacification Therapies)

  • Herbal formulations such as Dashmoola, Bala, and Ashwagandha alleviate Vata-related symptoms.
  • Medications like Rasayana drugs enhance tissue nourishment and neural regeneration.

3. Dietary Modifications

  • Incorporating Vata-pacifying foods, such as warm, unctuous, and easily digestible meals.
  • Avoiding cold, dry, and processed foods that aggravate Vata.

4. Lifestyle Interventions

  • Abhyanga (Oil Massage): Strengthens muscles and improves neuromuscular coordination.
  • Swedana (Sudation Therapy): Relieves stiffness and enhances circulation.

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    • Yoga and Pranayama: Improves motor and cognitive functions through relaxation and controlled breathing.

    5. Medicated Oils and Ghee:

    • Tailas like Mahanarayana Taila and Ksheerabala Taila are used for external application and internal administration to support neural and muscular health.

    Case Studies and Evidence

    Studies have shown that Ayurvedic interventions, particularly Basti and Rasayana therapies, significantly improve quality of life in neuromuscular disorders. Clinical trials on formulations like Ashwagandha, Brahmi, and Guduchi have demonstrated neuroprotective and anti-inflammatory properties, validating their use in Avarana-related conditions.

    Case Study 1: Muscular Dystrophy

    A patient with progressive muscle weakness responded positively to a combination of Panchakarma and oral medications like Ashwagandha Churna and Basti therapy, showing improved muscle strength and reduced fatigue.

    Case Study 2: Multiple Sclerosis

    Patients undergoing Virechana and Rasayana therapy reported enhanced motor functions and reduced inflammatory markers, supporting the role of Avarana treatment.

    Case Studies and Research

    Modern Correlation

    From a modern medical perspective, Avarana can be correlated with pathological mechanisms like:

    • Nerve compression or blockage.
    • Inflammatory changes disrupting nerve conduction.
    • Neuro-degeneration caused by oxidative stress.
    • Integrative approaches combining Ayurvedic principles with modern interventions offer a holistic pathway for managing these disorders.

    Results

    The findings indicate that Avarana significantly contributes to the pathogenesis of neuromuscular disorders.

    Specific examples include: Kapha Avarana of Prana Vata and Udana Vata in Parkinson’s disease, Kapha or Pitta Avarana of Vata in Asthi and Majja Dhatus in multiple sclerosis, and Mamsa Dhatu Avarana of Vata in muscular dystrophy. Ayurvedic treatments such as Basti (enema therapy), Rasayana (rejuvenation therapy), and Abhyanga (oil massage) were found to alleviate symptoms, restore tissue nourishment, and improve quality of life in patients.

    Discussion

    The Ayurvedic concept of Avarana provides a holistic framework to understand and manage neuromuscular disorders by addressing their root cause. By focusing on restoring the natural flow of Vata and removing obstructions, Ayurvedic therapies offer an integrative approach to managing neuromuscular pathologies. Future studies integrating Ayurvedic principles with modern research could pave the way for more effective therapeutic options.

    Conclusion

    The study highlights the relevance of Avarana in understanding the etiology, progression, and management of neuromuscular disorders. By integrating Ayurvedic principles with modern medicine, a comprehensive and patient-centered approach can be developed to address these complex conditions.

    The concept of Avarana provides a holistic perspective on the etiology and treatment of neuromuscular disorders. By addressing the underlying obstruction of Vata Dosha and restoring balance through personalized therapies, Ayurveda offers promising solutions for managing these complex conditions. Integrating Ayurvedic principles with modern medical insights can pave the way for a more effective and comprehensive approach to neuromuscular health. In Ayurveda, the concept of Avarana offers a comprehensive understanding of various pathophysiological conditions, including neuromuscular disorders. Avarana, which translates to "obstruction" or "covering," involves the blocking or veiling of the normal functioning of Vata Dosha by other Doshas, Dhatus, or Malas. This principle provides an insightful framework for diagnosing and treating complex disorders where typical neurological and muscular functions are impaired.


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    References

    1. Gopakupakumar S. Vaishwanara: Clinical Presentation on Endocrine Disorders. Kannur: Dr. Afil M Alex; p. 84 [Crossref][PubMed][Google Scholar]

    2. Sushruta. Sushruta Samhita (Ayurveda Tatwa Sandipika Hindi Commentary). Edited by Shastri AD. 1st vol. Varanasi: Chaukhambha Sanskrita Sansthana; 2013. Nidana Sthana, Chapter 1, Sloka 33-34. p. 299 [Crossref][PubMed][Google Scholar]

    3. Agnivesha. Charaka Samhita (Ayurveda Dipika’s Ayushi Hindi Commentary). Edited by Kushwaha HS. 1st vol. Varanasi: Chaukhambha Orientalia; 2016. Sutra Sthana, Chapter 20 [Crossref][PubMed][Google Scholar]

    4. Sushruta. Sushruta Samhita (Uttaratantra Kasapratishedha Adhyaya). Edited by Shastri A. Part II. 1st ed. Varanasi: Chaukhamba Sanskrit Sansthana; 2011. Chapter 52/5 [Crossref][PubMed][Google Scholar]

    5. Agnivesha, Charaka, Dridhabala. Charaka Samhita (Raktapitta Nidana Adhyaya). Edited by Sastri K, Chaturvedi GN. 1st ed. Varanasi: Chaukhambha Sanskrit Sansthana; 2005. Nidana Sthana, Chapter 2/4. p. 618 [Crossref][PubMed][Google Scholar]

    6. Agnivesha. Charaka Samhita (Vatavyadhi Adhyaya). Edited by JT. Varanasi: Chaukhambha Surbharati Prakashan; 2018. p. 619. Chapter 28/60 [Crossref][PubMed][Google Scholar]

    7. Krishnamurthy MS. Basavarajeeyam: Aetiology, Symptomatology and Treatment of Vatic Disorders. 1st ed. Varanasi: Chaukambha Orientalia; 2014. p. 149 [Crossref][PubMed][Google Scholar]

    8. Trikamji Y, editor. Charaka Samhita of Agnivesha. Varanasi: Chaukhambha Surbharati Prakashan; 2013. Nidana Sthana, Chapter 1/5. [Crossref][PubMed][Google Scholar]

    9. Trikamji Y, editor. Madhava Nidana of Madhavakara. Commentator: Srikanthadutta. Varanasi: Chaukhambha Prakashan; 2010. Chapter 33/6 [Crossref][PubMed][Google Scholar]

    10. Deva R. Shabdakalpadruma. Vol. 4. Varanasi: Chaukhambha Sanskrit Series; 1967. p. 23 [Crossref][PubMed][Google Scholar]

    11. Trikamji Y, editor. Charaka Samhita of Charaka. Sutra Sthana, Chapter 2, Verse 10. Varanasi: Chaukhamba Surbharati Prakashan; 2017. p. 24 [Crossref][PubMed][Google Scholar]

    12. Trikamji Y, editor. Charaka Samhita of Charaka. Chikitsa Sthana, Chapter 28, Verse 103. Varanasi: Chaukhamba Surbharati Prakashan; 2017. p. 621 [Crossref][PubMed][Google Scholar]

    13. Trikamji Y, editor. Charaka Samhita of Charaka. Chikitsa Sthana, Chapter 17, Verse 131. Varanasi: Chaukhamba Surbharati Prakashan; 2017. p. 538 [Crossref][PubMed][Google Scholar]

    14. Trikamji Y, editor. Charaka Samhita of Charaka. Chikitsa Sthana, Chapter 28, Verse 247. Varanasi: Chaukhamba Surbharati Prakashan; 2017. p. 627 [Crossref][PubMed][Google Scholar]

    15. Trikamji Y, editor. Charaka Samhita of Charaka. Chikitsa Sthana, Chapter 28, Verse 235. Varanasi: Chaukhamba Surbharati Prakashan; 2017. p. 626 [Crossref][PubMed][Google Scholar]

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